Panosteitis is a painful bone condition causing intermittent lameness in large and giant breed dogs during rapid growth phases, typically resolving on its own but requiring careful welfare management.
Despite its self-limiting nature, panosteitis causes genuine and significant pain. Affected dogs show unmistakable signs of bone pain — reluctance to bear weight, crying when bones are touched, reduced activity and changes in temperament. The shifting nature of the lameness means that multiple limbs may be painful in succession, creating months of intermittent suffering without careful management. NSAIDs (such as meloxicam or carprofen) are effective and essential; withholding analgesia because the condition "resolves on its own" is an unacceptable welfare decision. Rest during flare-ups reduces mechanical stress on inflamed bones. High-protein and high-calcium diets may exacerbate symptoms; nutritional management with appropriate large-breed puppy food is prudent. Owners sometimes misinterpret shifting lameness as malingering, delaying treatment — education about panosteitis significantly improves welfare outcomes.